Distal tibial fractures present a challenge due to subcutaneous location of tibia and precarious blood supply of distal leg. MIPO (Minimal invasive plating osteosynthesis) has evolved as a newer concept to treat distal tibial fractures with minimal articular comminution and minimal soft tissue damage.
Methodology: This study was carried out at Department of Orthopaedics, Tertiary care Hospital. 45 patients with distal tibia fractures were identified of which 42 patients were enrolled in the study based on the inclusion and exclusion criteria. With 2 patients being lost to follow-up during the course of study before completing at least 6 months of follow-up, we had 40 patients remaining to study.
Results: 37(92.5%) fractures were united between 10-14 weeks. Average time of union was 12 weeks. Majority of patients 20 (50%) had 50-70 degree of plantar flexion at final follow-up while 8 patients (20%) had <30 degree of plantar flexion. 12 patients (30%) had 30-50 degree of plantar flexion. Majority of patients 30 (75%) had 10-30 degree of dorsi flexion at final follow-up while 6 patients (15%) had <10 degree of dorsi flexion. 4 patients (10%) had 30-40 degree of dorsi flexion at final follow up.Results were evaluated by AOFAS score consists of pain (40 points) and Function (50 points). 38 had good to excellent results. 2 had poor results.
Conclusion: Newer anatomically contoured locking compression plates is a simple, has a rapid and straight forward application and has a reduced surgical time in fractures of the distal tibia fractures.